Heather Sue Talley, LAT, ATC
Specialist/Technologist, Athletic Trainer in Valparaiso, IN. Individual provider (NPI-1).
NPI number1891192548
StatusActive
Last updated in NPPESNov 24, 2014
Details
- NPI
- 1891192548
- Entity type
- Individual (NPI-1)
- Name
- Heather Sue Talley
- Credential
- LAT, ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2014
- Last updated
- Nov 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 36002150A | IN | Yes |
Practice location
624 W 300 NValparaiso, IN 46385-9203
Phone 219-707-6664
Mailing address
624 W 300 NValparaiso, IN 46385-9203
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All 12 Athletic Trainer providers in Valparaiso · All 2,029 providers in Valparaiso
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